A method of detecting a predisposition to, or the incidence of,
bladder cancer in a sample comprises detecting an
epigenetic change in at least one
gene selected from TWIST1, NID2, RUNX3, BMP7, CCNA1, PDLIM4, TNFRSF25, APC, RASSF1A, LOXL1, TUBB4, NTRK2, ARFGAP3, OSMR and TJP2. Detection of the
epigenetic change is indicative of a predisposition to, or the incidence of,
bladder cancer. The
gene may be TWIST1 or a panel of genes such as TWIST1, NID2 and RUNX3 may be screened. The
epigenetic change may be
methylation. A kit for detecting a predisposition to, or the incidence of,
bladder cancer in a sample comprises at least one primer pair for determining the
methylation status of each of NID2, TWIST1 and RUNX3. A kit for detecting a predisposition to, or the incidence of, bladder
cancer in a sample comprises means for detecting an epigenetic change in at least one
gene selected from TWIST1, NID2, RUNX3, BMP7, CCNA1, PDLIM4, TNFRSF25, APC, RASSF1A, LOXL1, TUBB4, NTRK2, ARFGAP3, OSMR and TJP2. The kit also contains means for
processing a
urine sample.